#ir #peds
Major Risk Factors
Pre-discharge total serum bilirubin (TSB) or total conjugated bilirubin (TcB) level in the high- risk zone Jaundice observed in the first 24 hours of life Blood group incompatibility, with positive direct antiglobulin test Gestational age 35-36 week Previous sibling received phototherapy Cephalohematoma or significant bruising Exclusive breastfeeding, particularly if nursing is not going well and weight loss is excessive East Asian race
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CLIPP 8 - neonatal jaundiceh hyperbilirubinemia as "Low," "Intermediate," or "High" based on age and bilirubin level. It also lists clinical risk factors for severe hyperbilirubinemia in infants of 35 or more weeks' gestation:
<span>Major Risk Factors
Pre-discharge total serum bilirubin (TSB) or total conjugated bilirubin (TcB) level in the high- risk zone Jaundice observed in the first 24 hours of life Blood group incompatibility, with positive direct antiglobulin test Gestational age 35-36 week Previous sibling received phototherapy Cephalohematoma or significant bruising Exclusive breastfeeding, particularly if nursing is not going well and weight loss is excessive East Asian race
Minor Risk Factors
Pre-discharge TSB or TcB level in the high intermediate-risk zone Gestational age 37-38 week Jaundice observed before discharge Previous sib Summary
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